Remote Billing Operations Leader | Revenue Cycle Expert

Venture Medical, LLC; Missoula (MT); Remote; USD 95,000 - 110,000; Full time

Benefits offered by this job

Medical insurance (partially employer‑

Dental insurance

Vision insurance

401(k)

Incentive compensation

Job summary

Venture Medical, LLC is seeking a Senior Billing Manager for a remote role, leading the billing function across multiple lines. You will develop SOPs, interpret payer policies, and drive metrics like denial rate, AR aging, and write-offs while coordinating with reimbursement on authorizations and audits.

You should have 8+ years in medical billing with supervisory experience, strong knowledge of CMS rules, and HIPAA compliance. Remote work available with potential state-specific requirements.

Qualifications

• 8+ years of medical billing experience with progressive responsibility, incl. 3+ years in senior/lead roles.
• Experience with Medicare Part A/B, DME MAC rules, Medicare Advantage, Medicaid, and commercial payer billing.
• HIPAA compliance knowledge and experience with billing systems implying secure handling of PHI.

Responsibilities

• Develop, maintain, and enforce SOPs, payer playbooks, and billing edit rules across lines.
• Oversee submission of clean claims and manage denial management end-to-end.
• Monitor billing metrics and implement corrective actions.
• Coordinate with Reimbursement on authorizations and IVR outcomes.
• Support audits and maintain compliant documentation in billing systems.

Skills

Medical billing

Revenue cycle

SOP development

Payer policy interpretation

HIPAA compliance

Analytical skills

Remote work

Education

High school diploma or equivalent

CPC/CPB/CRCR certification (preferred)

Tools

Clearinghouse platforms

Payer portals

EDI transaction sets

Billing systems

CRM platforms

Job description

Venture Medical, LLC is seeking a Senior Billing Manager for a remote role, leading the billing function across multiple lines. You will develop SOPs, interpret payer policies, and drive metrics like denial rate, AR aging, and write-offs while coordinating with reimbursement on authorizations and audits.

You should have 8+ years in medical billing with supervisory experience, strong knowledge of CMS rules, and HIPAA compliance. Remote work available with potential state-specific requirements.